Evidence map›Paper›PMID 37296419›Full record

ArticleBMC nursing2023

Safety climate in the surgical center during the Covid-19 pandemic: mixed-method study.

Ana Regina Ramos Azevedo, Cintia Silva Fassarella, Daniela Campos de Andrade Lourenção, Flavia Giron Camerini, Danielle de Mendonça Henrique, Renata Flavia Abreu da Silva

Abstract read
In one paragraph

Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ana Regina Ramos AzevedoState University of Rio de Janeiro, Rua Boulevard 28 de Setembro, 157, Vila Isabel. CEP: 20551030, Rio de Janeiro, RJ, Brasil. anaregina@id.uff.br.ORCID http://orcid.org/0000-0002-6857-5260
Cintia Silva FassarellaState University of Rio de Janeiro, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-2946-7312
Daniela Campos de Andrade LourençãoUniversity of São Paulo, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0002-3050-0378
Flavia Giron CameriniState University of Rio de Janeiro, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-4330-953X
Danielle de Mendonça HenriqueState University of Rio de Janeiro, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-0656-1680
Renata Flavia Abreu da SilvaFederal University of the State of Rio de Janeiro, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0003-1776-021X

Funding

Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/010.100932/2018
6 · The paper itself

Abstract

contextThe gradual impact of the Covid-19 pandemic had important effects on routines in surgical environments. In order to cope with the impact and re-establish anaesthesiology and surgery procedures, it was imperative to pursue in-depth studies with a view to ensuring safe surgical care, reducing hazards, as well as protecting the health, safety and wellbeing of the health personnel involved. The purpose of this study was to evaluate quantitative and qualitative approaches to domains of safety climate among multi-professional staffs of surgical centres during the Covid-19 pandemic and to identify intersections.

methodsThis mixed-method project employed a concomitant triangulation strategy on a quantitative approach in an exploratory, descriptive, cross-sectional study, as well as a qualitative approach by way of a descriptive study. Data were collected using the validated, self-applicable Safety Attitudes Questionnaire/Operating Room (SAQ/OR) questionnaire and a semi-structured interview script. The 144 participants were the surgical, anaesthesiology, nursing and support teams working in the surgical centre during the Covid-19 pandemic.

resultsThe study found an overall safety climate score of 61.94, the highest-scoring domain being 'Communication in the surgical environment' (77.91) and the lowest, 'Perception of professional performance' (23.60). On integrating the results, a difference was found between the domains 'Communication in the surgical environment' and 'Working conditions'. However, there was intersection by the 'Perception of professional performance' domain, which permeated important categories of the qualitative analysis.

conclusionsFor care practice, it is hoped to encourage improved patient safety, educational interventions to strengthen the patient safety climate and promote in-job wellbeing on the job for health personnel working in surgical centres. It is suggested that further studies explore the subject in greater depth among several surgical centres with mixed methods, so as to permit future comparisons and to monitor the evolving maturity of safety climate.

Indexed as

COVID-19Hospitals teachingNursingOrganisational cultureSurgicentres

Identifiers

PMID37296419
PMCPMC10255941

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.